Contract Details
Ancillary Care Services
Facility name
Proscan Imaging Naples
Provider ID
P000003838
NPI
1114918257
Tax ID
562375633
Effective Date
4/1/2012
Last Updated
10/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
7947 Airport Pulling Road North
Naples, FL 34109
United States
County
Collier
Phone
2395980035 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address